Sunday, 8 June 2025

Doctors and Nurses.

No, this isn’t about shenanigans in the playground. It’s about real doctors, real nurses, and their relative merits.

We think of doctors as superior to nurses, don’t we? Their training takes longer; they get paid more; they’re the bosses while the nurses assist. It’s an acceptable and inevitable view, but I’m not so sure that it’s wholly reasonable.

When all’s said and done, doctors are fundamentally mechanics whose tools are the stethoscope and scalpel rather than the spanner and screwdriver. They’re highly trained and highly skilled, certainly. They need to know the function and interrelation of every aspect of the physical body. But ‘physical’ is the operative word. They don’t need a good bedside manner, however laudable one might be. I seem to recall Gregory House once saying something to the effect that the business of doctoring is not about curing conditions, but about solving puzzles. He didn’t have much of a bedside manner, did he, for all his genius. And I’ve had personal experience of other doctors who didn’t have much of a bedside manner either.

Nurses, on the other hand, are the care givers. They’re more highly trained technically than they used to be, although not to the level of doctors, obviously. But they still need to understand how people – as opposed to merely the constructions we call bodies – function. This is a vital skill which nurses need but doctors don’t. A good nurse needs an innate understanding of psychology while the good doctor gets on with solving the puzzle and mending the broken bits.

And that’s why I think they should be regarded as equal partners.

Remember that student nurse I mentioned on this blog back in 2018 – a young Pakistani girl called Sabs? She was around twenty years old and not yet fully qualified, but as she went off duty at 7pm she turned to the ward full of elderly men and said ‘goodnight boys.’ I’ll lay odds that she’s now a very valuable nurse. And we hadn’t seen a doctor for hours.

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